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Concurrent use with chemotherapy further increases the risk of thromboembolism

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10.3389/fphar.2019.00119 8 CaoR.GongH.XiaS.HuZ.FanX.ZhaiB.et al (2025)

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This cross-feeding relationship is called syntrophy, and it is one of the reasons that single-strain probiotics often underperform compared to carefully designed multi-strain formulations

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Lancet 394, 3950

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